Drug Testing Locations - Bridgewater, MA

Drug Testing in Bridgewater, MA

Bridgewater, Massachusetts Statistics

In 2021, Plymouth County reported a 12% increase in opioid-related overdose deaths.

Bridgewater saw a 15% rise in substance abuse treatment admissions in the year 2022.

Over 60% of drug-related arrests in Bridgewater involve heroin and opioids, according to the 2021 data.

In 2022, Bridgewater police confiscated over 200 kg of illegal drugs during various operations.

Plymouth County's recovery services reported a 20% increase in demand for services in the last five years.

The number of naloxone (Narcan) kits distributed in Bridgewater increased by 25% between 2020 and 2022.

How does the body eliminate Drugs

Drug elimination is the sum of the processes of removing an administered drug from the body. In the pharmacokinetic ADME scheme (absorption, distribution, metabolism, and excretion), it is frequently considered to encompass both metabolism and excretion. Hydrophobic drugs, to be excreted, must undergo metabolic modification making them more polar. Hydrophilic drugs, on the other hand, can undergo excretion directly, without the need for metabolic changes to their molecular structures.

Although many sites of metabolism and excretion exist, the chief organ of metabolism is the liver, while the organ primarily tasked with excretion is the kidney. Any significant dysfunction in either organ can result in the accumulation of the drug or its metabolites in toxic concentrations.

A variety of other factors impact elimination — intrinsic drug properties, such as polarity, size, or pKa. Also other factors include genetic variation among individuals, disease states affecting other organs, and pathways involved in the way the drug distributes through the body, such as first-pass metabolism.

Issues of Concern

Drug elimination is the removal of an administered drug from the body. It is accomplished in two ways, either by excretion of an unmetabolized drug in its intact form or by metabolic biotransformation followed by excretion. While excretion is primarily carried out by the kidneys, other organ systems are involved as well. Similarly, the liver is the primary site of biotransformation, yet extrahepatic metabolism takes place in a variety of organ systems affecting multiple drugs.

Given the multiple organ systems and the variety of metabolic transformations present, drug elimination can entail a significant degree of complexity. Hydrophilic drugs are typically directly excreted by the kidneys, while hydrophobic drugs undergo biotransformation before excretion. The purpose here is twofold – biotransformation serves both detoxify the exogenous substances as well as to increase their hydrophilicity, ensuring their elimination via the kidneys.

Two broad metabolic pathways of hepatic drug transformation exist. Phase I is the direct modification of the target molecule, whereas phase II entails conjugation of the target to a polar molecule of low molecular weight. Phase I prepare the drug to enter phase II, but single-phase metabolism also exists.

Phase I involves oxidation, reduction, and hydrolysis of the exogenous molecule. These reactions are accomplished by hepatic microsomal enzymes, which reside in the smooth endoplasmic reticulum of the hepatocytes. Best known among them is the cytochrome P450 system, whose enzymes are predominantly involved in oxidative metabolism. Within the cytochrome P450 family (CYP), the enzyme responsible for the metabolism of more than 50% of existing drugs is the CYP3A4. Its activity encompasses various classes of medications, including opioids, immunosuppressants, antihistamines, and benzodiazepines. The enzymes can also be induced or inhibited by a variety of substances they interact with, including pharmaceuticals. The increase in metabolic activity with CYP induction results in a diminished activity of drugs targeted by that particular isoform. Conversely, CYP inhibition will result in increased drug plasma concentration, potentially leading toxicity. The CYP3A4 is induced by phenytoin, phenobarbital, and St. John's wort, while diltiazem, erythromycin, and grapefruit inhibit it. Caution is, therefore, necessary when administering CYP3A4-metabolized drugs in the presence of any of the inhibitors or inducers.

Phase II consists of covalent bonding of polar groups to nonpolar molecules to render them water-soluble and allow renal or biliary excretion. Target molecules enter phase II directly or via initial processing through phase I. A variety of polar adjuncts is transferred, including amino acids, glucuronic acid, glutathione, acetate, and sulfate. Glucuronidation is one of the major pathways of phase II biotransformation. The UDP-glucuronosyltransferase (UGT) enzyme family performs this activity. Typically, glucuronide derivatives possess less or no activity of the original drug, but in some cases, pharmacologically active compounds result. Morphine-6-glucuronide is a phase II metabolite of morphine with significant analgesic activity. As with the CYP enzymes, inducers, and inhibitors of phase II, enzymes exist and may influence the efficacy of drugs that rely on conjugation before excretion.

The first-pass effect is a feature of hepatic metabolism that also plays a role in the elimination of multiple drugs. Here, the enteric consumed drugs are exposed directly to the liver via the portal vein, where they undergo biotransformation before entering the systemic circulation. This activity reduces the bioavailability and needs to be factored into the dose administered to the patient. Intravenously administered drugs are not subject to the first-pass effect.

Extrahepatic drug metabolism takes place in the GI tract, kidneys, lungs, plasma, and skin.

Renal excretion completes the process of elimination that begins in the liver. Polar drugs or their metabolites get filtered in the kidneys and typically do not undergo reabsorption. They subsequently get excreted in the urine. Urinary pH has a significant impact on excretion, as drug ionization changes depending on the alkaline or acidic environment. Increased excretion occurs with weakly acidic drugs in basic urine and weakly basic drugs in acidic urine.

Excretion in the bile is another significant form of drug elimination. The liver can actively secrete ionized drugs with a molecular weight greater than 300 g/mol into bile, from where they reach the digestive tract and are either eliminated in feces or reabsorbed as part of the enterohepatic cycle.

Other pathways of excretion include the lungs, breast milk, sweat, saliva, and tears

Employers in Bridgewater, MA & Drug Testing Policies

Employers in Bridgewater, MA, are increasingly adopting stringent drug testing policies to ensure a drug-free workplace. Many local businesses, in collaboration with the Substance Abuse and Mental Health Services Administration, participate in educational workshops to understand and implement effective drug policies.

Some companies offer support through employee assistance programs (EAPs) that provide counseling and rehabilitation options. By promoting a healthy work environment, employers aim to mitigate the impact of substance abuse on productivity and employee well-being.

Alongside mandatory pre-employment screening, random drug testing is becoming more common. This ensures compliance with state regulations and maintains organizational standards. For more details on workplace policies, visit the Massachusetts Office of Labor and Workforce Development.

Government Efforts with Drug Problems in Bridgewater, MA

The government of Bridgewater, MA, along with Plymouth County, has enhanced its efforts to combat drug abuse by increasing funding to local law enforcement and establishing partnerships with treatment centers. A significant initiative includes the coordination with the Massachusetts Department of Public Health to distribute naloxone and provide outreach programs.

State-funded programs like the Opioid Abuse Prevention Collaborative aim to reduce substance abuse through education and preventive measures. Additionally, partnerships with federal entities, like the Drug Enforcement Administration, have facilitated more extensive surveillance and intervention strategies in Bridgewater.

Local Drug Busts & News in Bridgewater, MA

Bridgewater has experienced numerous drug busts over recent years as part of intensified surveillance efforts by local law enforcement. In 2022, the Bridgewater Police Department seized significant quantities of fentanyl and cocaine in coordination with Plymouth County's task force.

A massive drug-related event, known as 'Operation Clean Sweep,' led to the arrest of several individuals involved in drug trafficking activities. This operation highlighted the cooperative efforts among different counties to address the broader drug crisis.

Additionally, local awareness programs continue to engage residents and provide information on identifying and reporting drug-related activities. These events often feature collaboration with organizations like the Massachusetts Crime Stoppers to encourage community participation.

Occupational Health Services

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Resources & Citations

BAMSI Substance Use Services

Massachusetts Substance Use Helpline

High Point Treatment Center

Brockton Area Multi-Services, Inc.

Steppingstone Inc.

Gosnold Behavioral Health

Learn to Cope

Bureau of Substance Addiction Services

Baystate Health Addiction Services

Nar-Anon Family Groups

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